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About Pullman Family Medicine

(509) 332-3548
Our commitment is to offer accessible, top-notch healthcare and improve the overall wellness of our community. In today's complex healthcare system, we strive to be your trusted partner in navigating the challenges you may encounter on your health journey.
Pullman Family Medicine is a member of the Pullman Regional Hospital network of clinics, providing access to primary healthcare for the region.
Operating Hours: Monday-Friday, 8 a.m. - 6 p.m., Saturday 8:30 a.m. - 1:30 p.m.

COVID-19 Vaccines

 For information about the COVID-19 vaccine, please click here.  No walk-in appointments available. Please call (509) 332-3548 to schedule your vaccine appointment. 


Dr- Adkins-1

Dr. Adkins has been providing family medicine with obstetric care since 2004. He was chief resident in South Bend, Indiana and has additional training in Cesarean deliveries, colonoscopies, vasectomies, and skin surgery.

He was recognized as an outstanding upcoming family physician by the American Academy of Family Physicians. 

He has a Master’s Degree in Health Systems Administration from Indiana University, serves with the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. He teaches medical students from the University of Washington.

Dr. Adkins enjoys teaching patients how to improve health through lifestyle so they can avoid seeing him in the office. 

Baker, Laura

Philosophy of Care:
I believe in treating the whole person as a crucial aspect of medicine. My commitment is to provide high-quality medical care to my community while advocating for my patients and their health. I am particularly passionate about serving the LGBTQIA+ community with the care and respect they deserve.

Personal Interests:
In 2020, my wife, Madeleine, and I moved from central Texas to Pullman, where we now enjoy a homestead with livestock and space to raise our twins.

Why I Became a Family Medicine Physician:
I chose family medicine because it allows me to be involved in the health care of entire families. Initially torn between family medicine and obstetrics, I decided on a family medicine residency with advanced obstetrics training to stay involved in the unique and special process of pregnancy and delivery. Practicing rural medicine offers the opportunity to combine both family medicine and obstetrics, allowing me to provide comprehensive care in a community setting.

Since joining Pullman Family Medicine, I have dedicated myself to working with the transgender community and providing comprehensive healthcare to the LGBTQIA+ community. As a member of this community, I understand the challenges that can arise in accessing medical care. I strive to help my patients navigate these hurdles with ease and to be as personable and supportive as possible in achieving their health goals. Whether offering resources, referrals for surgeries and therapy, or a compassionate listening ear, my goal is to be there for each of my patients.

Additional Information:
From a young age, I knew I wanted to be a physician. I earned my undergraduate degree in Biomedical Sciences from Texas A&M University and continued there for medical school. I completed my residency at Texas A&M Family Medicine Residency in Bryan, TX, participating in the Advanced Obstetrics track, where I trained in deliveries and cesarean sections. I am board-certified in Family Medicine and have privileges to work at Pullman Regional Hospital.

Teresa Tomaszewski

Philosophy of Care: As PA-C's, the foundation of our practice is treating patients as more than individual symptoms. We view care as an entire connected system; mental, physical, and emotional states all matter. My goal has always been to be an empathetic and understanding provider. I want to know about you, not just to address chronic and acute conditions, but to create a working relationship that facilitates better health outcomes so you can continue to enjoy life to the fullest.

Why Family Medicine PA-C: I chose Family Medicine because I want to help people lead healthy productive lives regardless of age, gender, or ailment. Our bodies are continuously changing throughout our lives. From prenatal development to advanced years, I have always wanted to be part of that change, helping in preventative care, routine checkups, and diagnosing illnesses and issues.

 Personal Interests: My partner, our Great Pyrenees, and I are avid outdoor explorers in all seasons. We spend our time together hiking, backpacking, skiing (backcountry, alpine, and nordic), biking, kayaking, fishing, hunting, foraging, and gardening. If I am not in the clinic, odds are I am out-of-doors enjoying nature.

Education: Undergraduate: Central Michigan University, Mount Pleasant, Ml

Physician Assistant Graduate Program: Heritage University, Toppenish, WA

Organizations: American Academy of Physician Assistants, Washington Academy of Physician Assistants

Certification: National Commission On Certification Of Physician Assistants


Philosophy of care: It is a privilege to work with people on a personal level. I see my role as part of the medical team and to provide patients the support and guidance that is required in order to lead a healthy lifestyle and work towards their personal goals. 


Personal Interests: A role that has brought me joy and fulfillment like no other is being a mother of two teenagers (Cassie and Sam). They certainly keep my husband, Bill and I busy with their personal interests. We have a rich life here on the Palouse with adventures in the mountains, rivers and spending time with our dear friends and family. In the summer, you are likely to see me working in the yard where I am a novice gardener. 

Why did you decide to become a Family Medicine PA-C: I wouldn't work in any other field. I love working with people of all ages. It is gratifying to me to see young families and work by their side as that precious baby turns their world upside down! Those babies evolve into teenagers and then adults. I also truly enjoy working with a population whom has arrived at the other end of the spectrum of life. Each of these stages are filled with invaluable lessons and it is gratifying to be a part of these stages with our patients. 

Additional information: My path to become a PA was a windy one, but has helped to transform who I am now.

attended Drury College in Springfield, MO where I obtained my BA in psychology. After working in a court mandated drug rehabilitation facility for teenagers in Chicago, I decided to make a significant switch to physical therapy. I then pursued a degree as a physical therapist assistant and worked in this realm first in Chicago and then on the Palouse for a total of 13 (?) years.

After starting my family, I decided it was time to go back to school again and this time obtained a MA degree in Physician Assistant at the University of Washington. This field has provided all that I have been searching for: working with people in a very close relationship, making a difference and will continue to challenge me every day.

Kim Guida

Philosophy of care: Everyone has a fundamental right to health care and, in partnership with their physician, they should have the opportunity to play an active role in their own care. My goal is to provide guidance, advice, and treatment based on current medical evidence, and to help my patients attain and maintain the best possible state of health. I believe that a long-term relationship with a trusted physician, one who has come to know each person's history, values, and goals is the key to excellent health care. It is truly a privilege to build these long-term relationships with families, to share in their joys and sorrows, and to be a trusted source of medical care and guidance over time.

Why did you decide to become a Family Medicine physician? In medical school, I believed I was best suited to the field of OB/GYN, because I loved providing pregnancy care and delivering babies. However, I realized that I missed following the babies I delivered and wondered how those mothers and fathers were handling parenthood. I wanted to see those babies grow to become toddlers and teenagers, while providing guidance to their parents during those demanding and joyous years. I could do all of that in Family Medicine, and I could treat diabetes, heart disease, asthma, skin cancer, infections, mental health problems --you name it. I chose a residency program that offered excellent training in obstetrics as well as broad-spectrum family medicine, moved from the east coast to the west, and have been practicing in Washington (except for 3 years in Idaho) ever since! After 20 years, I still find it challenging and energizing to be a family doctor.


Personal Interests: I love the Northwest for it tremendous access to outdoor activities. I enjoy hiking, biking, backpacking, rafting, and international travel. I also enjoy curling up with a good book, drinking coffee with friends, and watching movies. I am married and have two teenage girls. (Note: I both provide and readily accept any tips on raising teenagers!)

Education & Experience:

Dartmouth College, Hanover, NH, B.A. in Sociology and English University of Connecticut School of Medicine, Doctor of Medicine Tacoma Family Medicine Residency Program, Rural Training Track Fellow of the American Academy of Family Physicians
Medical director of Pullman Family Medicine
Chair of the Network Operations Council of Pullman Regional Hospital Clinic Network (PRHCN) Active medical staff member at Pullman Regional Hospital
Board-certified in Family Medicine

Dil Sangha

His education:

BS: University of British Columbia

Medical School: Touro College of Osteopathic Medicine, New York

Residency: University of Florida College of Medicine

Philosophy of Care

My guiding principle is simple: "Care for my patients like family." This principle has always been at the core of my practice, and it defines my commitment to providing compassionate, comprehensive, and patient-centered care.

My passion in medicine has always been rooted in serving underserved communities. Over the years, I've had the privilege of witnessing the transformative impact of helping patients access essential care and connecting them with vital community resources.

At the heart of my philosophy is a firm belief that a strong doctor-patient relationship is built on attentive listening, trust, and mutual respect. I genuinely prioritize taking the time to deeply understand my patients' concerns, striving to create an environment where they feel not just like another case, but like valued individuals whose voices are heard.

One of the most rewarding aspects of being a primary care physician is the profound privilege of being present for my patients throughout various stages of their lives. I find immense joy in hearing their stories, sharing in their healthcare journey, and contributing to their overall well-being. It's a journey I cherish, and I'm deeply grateful to be a part of it.

Associate of Applied Science: Tennessee State University
Bachelor of Science, Nursing: Walden University
Master of Science, Nursing: Walden University

Philosophy of Care: 

My unwavering commitment to compassion, inclusivity, and top-tier care ensures no one in the community is left behind. I specialize in skin health, from preventing skin cancer to providing diverse treatments. My mission is to empower, educate, and embrace diversity, dismantling barriers to access and fostering a healthier, more radiant community.

What do you want your patients to know going into an appointment?
I would want each of my patients to feel validated in their experience. I know if they’re in front of me it’s for a reason. I want to care for everyone and I would really hope that my patients know I am there to care for them.

Personal Interests:
My family, we love music. I studied music at the University of Idaho and was a singer before I was diagnosed with nodes on my vocal chords. Even though I wasn’t able to continue singing, I still love music and it’s something I love to do with my family.

Our services

If you are experiencing a life-threatening emergency, please call 911 or go to the nearest emergency room.


Our providers perform a variety of in-office services and procedures. These include but are not limited to:

  • Skin lesion removal and biopsy
  • Laceration repair
  • Abscess drainage
  • Colposcopy/LEEP and evaluation and management of abnormal pap smears
  • Vasectomy
  • Edometrial biopsy
  • Contraceptive Implants (Nexplanon insertion and removal)
  • Intrauterine device (IUD) placement and removal
  • Newborn circumcision

Pullman Family Medicine is proud to offer on-site lab services.

With the support of our skilled phlebotomist and nursing staff, we can perform many in-house services such as rapid diagnostic tests.  Many specimens will be sent to an outside laboratory for processing, which means you will receive a separate statement of services from the outside office. 

Please ask the clinical staff member assisting you if you have any questions about where your specimens or tests will be sent.

Depending on the type of lab testing you will be getting done, it may be necessary for you to plan ahead to ensure that you are able to fast if necessary. Fasting for the purpose of a lab draw means that you do not eat or drink anything but water 12 hours prior to your blood draw. If you have concerns about this restriction please discuss in further detail with your healthcare provider.

If you received a statement from an outside office for lab or pathology services, here are some contact numbers if you have questions about your bill:

  • Pullman Regional Hospital Billing
    (509) 332-1163
  • Incyte Pathology
    (800) 403-6749
  • LabCorp
    (800) 845-6167

Pullman Family Medicine offers healthcare services, resources, and support for members and families of the LGBTQ+ community. Our providers take great care to offer inclusive, compassionate care to all individuals and remain a supportive part of patient's health journeys. 

Services include: trans care, hormone therapy, referrals for surgeries, sexual health, reproductive and pregnancy care, and creating an inclusive and respectful environment in the clinic. 

BLOG: Inclusive Primary Care for the LGBTQ+ Community

PODCAST: Inclusive Primary Care on the Palouse with Dr. Baker

We provide comprehensive family-centered maternity care. Our patients have 24-hour access to our physicians by phone, and we will be with you from pre-conception to delivery.

Some of these services include:

  • Pre-pregnancy counseling and exams
  • Prenatal care
  • Vaginal and Cesarean deliveries
  • Natural childbirth and counseling on labor management choices
  • Care of newborn in the hospital and beyond

Family Medicine is all about medical care for the whole family. This starts at the moment you welcome your little one into the world! Our providers and staff delight in caring for our younger patients and adolescents, and do our best to make the medical setting inviting and kid-friendly.

Our pediatric services include:

  • Newborn hospital care
  • Newborn circumcision
  • Well child exams and immunizations
  • Adolescent health exams and sports physicals
  • Urgent care for acute illness
  • Chronic care management

We believe that maintaining health is one of the best investments you can make. We welcome patients of all ages. Our family physicians are experts in preventive care.

All of our healthcare providers are able to see you for your sports-related injuries. We encourage and active lifestyle for all of our patients, but this sometimes comes with unfortunate consequences like sprains or fractures. All of our providers are trained to diagnose and treat a variety of sports-related injuries, and will do their best to help you recover as quickly as possible.

These services include, but are not limited to:

  • Muscle strains and ligament sprains
  • Fracture care
  • Overuse injuries
  • Sports physicals
  • Concussion management
  • Joint injections

Pullman Family Medicine offers same-day  urgent care appointments for new and existing patients Monday-Saturday. To schedule, please call (509) 332-3548. 

We understand the financial impact an ER visit can potentially have on you and your family. However, it is important to also understand that there are times when it may be more appropriate to go to the ER or call an ambulance.  In the event of an emergency, you should dial 911 or present to your nearest emergency room.


Patient Resources & Forms

Contracted Insurance Companies, PPO & HMO with Copays or Deductibles

Pullman Family Medicine is a preferred provider for the following companies:

  • Aetna
  • Amerigroup
  • Asuris
  • Blue Cross of Idaho
  • Cigna
  • Community Health Plan of Wash.
  • Coordinated Care/Cenpatico
  • First Choice Health Ntwk (FCHN)
  • GEHA (Aetna)
  • Group Health/Kaiser
  • Health Net Federal Svcs (HNFS)
  • ID Medicaid/Optum Idaho
  • L&I/Crime Victims
  • Medicare WA
  • Molina Washington
  • Premera
  • Regence of ID
  • RR Medicare
  • TriWest VAPC3
  • United Healthcare (UHC Optum)
  • WA Medicaid - Providerone


Non-Contracted or Other Insurance Carriers

We are willing to bill any insurance for you. However we are not contracted with all of the insurance companies. This means that you may be responsible for more of your bill.

Co-pays or co-insurance payments are expected at the time of service. We do expect some payment at each visit. For your convenience, we do take Master Card and Visa.

If you have questions regarding your bill, please call our billing office and they will be happy to help you.


Patients Without Insurance Coverage

We offer a 20% discount for patients that do not have insurance and pay their bill at the time of service. Payment plans are available if you are unable to pay in full.


Please contact our Patient Financial Services team:

840 SE Bishop Blvd, Ste 101
Pullman, WA 99163 
Phone: (509) 332-6139
Fax: (509) 332-6579

Monday – Friday, 8:00 a.m. – 5:00 p.m.
Closed on Saturdays & Sundays


To pay your bill please visit our Patient Financial Services website or call our team at (509) 332-1163.

We ask that you give us three business days to process your prescription refill request.  In order to expedite this process, please contact your pharmacy to have them fax us a refill request.

If your prescription is a controlled substance and you typically drop off a hardcopy prescription to your pharmacy, please call our office at (509) 332-3548 or send us a message through your MyChart account.  For these prescriptions, we ask that you give us five business days to process your request.  We will notify you when this is ready for pick-up or we can mail it directly to your pharmacy.

Related Links:

Thank you for choosing Pullman Family Medicine for your healthcare needs. Our goal is to improve the health of our patients by providing appropriate, high-quality, comprehensive care to you and your family.

As a new patient, we will ask you for several pieces of information upon check-in:

  • Government-Issued Photo ID
  • Current Health Insurance Card - Please note that all co-payments are expected at the time of service. If you do not have insurance, please contact our office so that we may discuss payment arrangements with you.

As a new patient, you will be asked to arrive fifteen minutes ahead of your appointment to ensure that we can complete your check-in process and all necessary paperwork. 


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Pullman Family Medicine



Pullman Family Medicine did a very nice job of taking in my dad as a new patient. Dr. Adkins is attentive to each of his concerns and communicates well with my dad and me.
Jennifer Massie
Pullman, WA

Nothing but good things to say about this practice. The professionalism and the understanding the staff has is remarkable.

Matt Hutchinson
Pullman, WA

I have been seeing Dr. Kim Guida for 10 years now and am very satisfied with the care I have received. She has delivered all 3 of my kids and I feel I have always been cared for by her.

Jessica Tholen
Pullman, WA

I have enjoyed my experience with my doctor, Dr. Baker. I found found her and the staff to be very supportive. I feel listened to and respected.

Kailah Nettle
Pullman, WA

I have had nothing but great experiences here at Pullman Family! Top notch service at the front desk with the amazing diverse staff, always willing to work with me patiently and answer all of my questions.

Marissa Gonzales
Pullman, WA

Dr. Adkins has been great and has been easy for my son to talk to. The staff are usually pleasant, helpful and accommodating.

Melissa Romjue
Pullman, WA

A special thank you to Dr. Guida for delivering my son and making sure we both were well taken care of. I drive an hour from my home to come to PFM because I believe good care is worth the drive, I won’t go anywhere else for my medical needs because I believe they’re the best practice in the area.

Katy Webster
Pullman, WA

Dr. Adkins has been my doctor for a year and I can't say enough good things about him. I just had a baby and I felt like I was in great hands throughout my whole pregnancy and delivery.

Lynde Forbush Tibbitts
Pullman, WA

I have always loved Pullman Family Medicine. The doctors and nurses have always taken their time during appointments and listened to any concerns I had at the time.

Brittany Barton Baldus
Pullman, WA

I have been a patient at Pullman Family Medicine for 40 years. They have served my needs and the needs of my family. Much appreciated. 

Nancy Gillard
Pullman, WA

I have found Dr. Baker to be incredibly supportive, kind and open. She's a great listener and always answers my questions! 

Trish N.